Evidence map›Paper›PMID 31999351›Full record

ArticleJournal of neuropathology and experimental neurology2020

Primary Tau Pathology, Not Copathology, Correlates With Clinical Symptoms in PSP and CBD.

John L Robinson, Ning Yan, Carrie Caswell, Sharon X Xie, EunRan Suh, Vivianna M Van Deerlin, Garrett Gibbons, David J Irwin, Murray Grossman, Edward B Lee and 3 more

Open access · greenAbstract read
In one paragraph

Article in Journal of neuropathology and experimental neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
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  5. Article
  6. Comorbid pathologies and their impact on progressive supranuclear palsy: current view.Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Review
  7. Review
  8. Review
  9. Language impairment is associated with faster progression in progressive supranuclear palsy-Richardson syndrome.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  10. High rates of diagnostic discordance and co-pathology: Insights into PSP from the NACC dataset.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  11. Review
  12. Article
  13. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 3 countries.

John L RobinsonFrom the Penn Alzheimer's Disease Core Center.
Ning YanFrom the Penn Alzheimer's Disease Core Center.
Carrie CaswellPenn Center for Neurodegenerative Disease Research.
Sharon X XieFrom the Penn Alzheimer's Disease Core Center.
EunRan SuhFrom the Penn Alzheimer's Disease Core Center.
Vivianna M Van DeerlinFrom the Penn Alzheimer's Disease Core Center.
Garrett GibbonsFrom the Penn Alzheimer's Disease Core Center.
David J IrwinFrom the Penn Alzheimer's Disease Core Center.
Murray GrossmanFrom the Penn Alzheimer's Disease Core Center.
Edward B LeeFrom the Penn Alzheimer's Disease Core Center.
Virginia M-Y LeeFrom the Penn Alzheimer's Disease Core Center.
Bruce MillerDepartment of Neurology, University of California San Francisco, San Francisco, California.
John Q TrojanowskiFrom the Penn Alzheimer's Disease Core Center.
University of California, San Francisco · USInstitute for Medical Informatics and Biostatistics · CHChongqing Medical University · CN

Funding

Transgenic Mouse Models of Tau PathologiesP01AG017586 · NIA · UNIVERSITY OF PENNSYLVANIA · PI LEE, VIRGINIA M · 2000 to 2021
$37.3M
UPenn ADCC Biomarker CoreP30AG010124 · NIA · UNIVERSITY OF PENNSYLVANIA · PI XIE, SHARON XIANGWEN · 1991 to 2020
$35.1M
Understanding Environmental Contributions to Heterogeneity in bvFTD.P01AG066597 · NIA · UNIVERSITY OF PENNSYLVANIA · PI David John Irwin, Corey T McMillan · 2020 to 2026
$18.8M
Project IV "Tackling Heterogeneity of Cognitive Trajectory in LBD"U19AG062418 · NIA · UNIVERSITY OF PENNSYLVANIA · PI GROSSMAN, MURRAY · 2019 to 2023
$18.1M
Training in Alzheimer’s and Age-Related Neurodegenerative DiseasesT32AG000255 · NIA · UNIVERSITY OF PENNSYLVANIA · PI ALICE S CHEN-PLOTKIN, VIRGINIA M LEE · 1997 to 2026
$12.5M
Pathological tau strains and transmission in Alzheimer's disease and other tauopathiesF32AG053036 · NIA · UNIVERSITY OF PENNSYLVANIA · PI GIBBONS, GARRETT · 2016 to 2019
$196k
NIA NIH HHS F32 AG053036NIA NIH HHS P01 AG017586NIA NIH HHS P01 AG066597NIA NIH HHS P30 AG010124NIA NIH HHS T32 AG000255NIA NIH HHS U19 AG062418
6 · The paper itself

Abstract

Distinct neuronal and glial tau pathologies define corticobasal degeneration (CBD) and progressive supranuclear palsy (PSP). Additional Alzheimer disease, TDP-43, and Lewy body copathologies are also common. The interplay of these pathologies with clinical symptoms remains unclear as individuals can present with corticobasal syndrome, frontotemporal dementia, PSP, or atypical Parkinsonism and may have additional secondary impairments. We report clinical, pathological, and genetic interactions in a cohort of CBD and PSP cases. Neurofibrillary tangles and plaques were common. Apolipoprotein E (APOE)ε4 carriers had more plaques while PSP APOEε2 carriers had fewer plaques. TDP-43 copathology was present and age-associated in 14% of PSP, and age-independent in 33% of CBD. Lewy body copathology varied from 9% to 15% and was not age-associated. The primary FTD-Tau burden-a sum of the neuronal, astrocytic and oligodendrocytic tau-was not age-, APOE-, or MAPT-related. In PSP, FTD-Tau, independent of copathology, associated with executive, language, motor, and visuospatial impairments, while PSP with Parkinsonism had a lower FTD-Tau burden, but this was not the case in CBD. Taken together, our results indicate that the primary tauopathy burden is the strongest correlate of clinical PSP, while copathologies are principally determined by age and genetic risk factors.

Indexed as

AgedAged, 80 and overApolipoproteins EBasal GangliaCerebral CortexFemaleGenetic Predisposition to DiseaseHumansMaleMiddle AgedSupranuclear Palsy, Progressivetau ProteinsApoE protein, humanApolipoproteins EMAPT protein, humantau ProteinsCorticobasal degenerationFTLD-TauProgressive supranuclear palsy

Identifiers

PMID31999351
PMCPMC7036659
OpenAlexW3003555920

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.